Generalised pruritus as a presentation of Grave's disease

Pruritus is a lesser known symptom of hyperthyroidism, particularly in autoimmune thyroid disorders. This is a case report of a 27-year-old woman who presented with generalised pruritus at a primary care clinic. Incidental findings of tachycardia and a goiter led to the investigations of her thyroid...

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Bibliographic Details
Published inMalaysian family physician Vol. 8; no. 1; pp. 20 - 23
Main Authors Tan, Ce, Loh, Ky
Format Journal Article
LanguageEnglish
Published Malaysia Academy of Family Physicians of Malaysia 2013
Academy of Family Physician of Malaysia
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Summary:Pruritus is a lesser known symptom of hyperthyroidism, particularly in autoimmune thyroid disorders. This is a case report of a 27-year-old woman who presented with generalised pruritus at a primary care clinic. Incidental findings of tachycardia and a goiter led to the investigations of her thyroid status. The thyroid function test revealed elevated serum free T4 and suppressed thyroid stimulating hormone levels. The anti-thyroid antibodies were positive. She was diagnosed with Graves' disease and treated with carbimazole until her symptoms subsided. Graves' disease should be considered as an underlying cause for patients presenting with pruritus. A thorough history and complete physical examination are crucial in making an accurate diagnosis. Underlying causes must be determined before treating the symptoms.
ISSN:1985-207X
1985-2274
1985-2274